Anterior capsular phimosisBMJ 2019; 367 doi: https://doi.org/10.1136/bmj.l5387 (Published 24 October 2019) Cite this as: BMJ 2019;367:l5387
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In their picture case study on anterior capsular phimosis, the authors Gupta et al state :' Delayed diagnosis can cause permanent visual loss.'
This statement is erroneous as the capsular phimosis causes a barrier to light only. This can be easily rectified by an anterior laser capsulotomy or surgical removal of the anterior capsule which will restore sight in all cases.
A fairly common complication of phimosis is lens implant decentration which may require lens explantation with secondary lens implantation.
The degree of anterior phimosis correlates well with the type of lens implant used.
Therefore, this misleading sentence needs to be removed or corrected.
Panagopoulos A, Chalioulias K, Kirkby G, R: A New Approach in the Surgical Management of Anterior Capsular Phimosis Syndrome. Ophthalmic Res 2009;42:221-223. doi: 10.1159/000232947
Sumil P Deokule, Subhanjan S Mukherjee,Chris K S Chew : Neodymium:YAG Laser Anterior Capsulotomy for Capsular Contraction Syndrome. Ophthalmic Surgery, Lasers and Imaging Retina 2006;37(2):99 https://doi.org/10.3928/1542-8877-20060301-04
Werner L, Pandey S K, Escobar-Gomez M, Visessook N, Peng Q, Apple D J: Anterior capsule opacification : A histopathological study comparing different IOL styles; Ophthalmology 2000;107 :463-471
Competing interests: No competing interests